新冠疫情期间社区卫生服务中心职工心理健康状况调查  

Study on Mental Health Status of Employees in Community Health Care Centers During the COVID-19 Epidemic

作　　者：黄正一 陈晟 刘丽萍 刘利 王敬丽 何燕玲[4] 王一波 Huang Zhengyi;Chen Sheng;Liu Liping;Liu Li;Wang Jingli;He Yanling;Wang Yibo(Dachang Toyvn Community Health Care Center,Shanghai 200442,China;Luodian Community Health Care Center,Shanghai 201908,China;Songnan Community Health Care Center,Shanghai 200441,China;Shanghai Mental Health Center,Shanghai 200032,China;Huangpu Branch of the Ninth People's Hospital Afliliated to Shanghai Jiao Tong University,Shanghai 200011,China)

机构地区：[1]上海市宝山区大场镇大场社区卫生服务中心,上海200442 [2]上海市宝山区罗店社区卫生服务中心,上海201908 [3]上海市宝山区淞南社区卫生服务中心,上海200441 [4]上海交通大学医学院附属精神卫生中心,上海200032 [5]上海交通大学附属第九人民医院黄浦分院,上海200011

出　　处：《健康教育与健康促进》2022年第1期1-5,共5页Health Education and Health Promotion

基　　金：2019年度上海市黄浦区卫生健康系统科研项目(HKM201908)。

摘　　要：目的 分析上海市宝山区社区卫生服务中心职工新冠疫情期间的心理健康状况,为促进职工心理健康提供参考。方法 于2020年5月随机抽取宝山区17家社区卫生服务中心中的5家,对其中的在职职工通过问卷星平台,使用躯体化症状自评量表(SSS)、健康自评问卷-9(PHQ9)和广泛性焦虑量表-7(GAD7)进行问卷调查。结果 职工在疫情前和疫情期间感到有工作压力的分别为907例(92.2%)和918例(93.3%),其中重度分别为716例(72.8%)和783例(79.6%)。在疫情期间有躯体化症状的514例(52.2%),其中的中重度有248例(25.2%);有抑郁症状的387例(39.3%),其中的中重度有127例(12.9%);有焦虑症状的299例(30.4%),其中的中重度有84例(8.5%)。多因素分析显示:女性、年龄大、受教育程度高、工作压力大是心理健康的危险因素;能承受较大的工作压力是心理健康的保护因素。结论 宝山区社区卫生服务中心职工的心理健康状况亟待改善,要关注重点人群,做好早筛查和早期的心理干预。Objective To examine the mental health status among the employees of Community Health Care Centers in Baoshan District of Shanghai during the COVID-19 epidemic and to provide reference for promoting their mental health.Methods An online survey was conducted among 984 employees of Community Health Care Centers in Baoshan District on the May 2020.The Somatic Selfrating Scale(SSS),Patient Health Questionnaire 9-Item(PHQ-9),and Generalized Anxiety Disorder 7-Item(GAD-7)were administered among the employees by Wenjuanxing platform.Results A total of 907(92.2%)and 918(93.3%)employees felt work pressure before and during the epidemic,of which 716(72.8%)and 783(79.6%)were severe,respectively.During the epidemic,totally 514 cases(52.2%)had somatization symptoms,of which 248 cases(25.2%)were moderate or severe;387 cases(39.3%)had depressive symptoms,of which 127 cases(12.9%)were moderate or severe;299 cases(30.4%)had anxiety symptoms,of which 84 cases(8.5%)were moderate or severe.Multivariate analysis showed that female,old age,high education level,and high work pressure were the risk factors of mental health,and being able to bear high work pressure was the protective factor of mental health.Conclusion The mental health status of employees in Baoshan District Community Health Care Centers needs to be improved.Attention should be paid to key groups,early screening and early psychological intervention.

关 键 词：新冠肺炎 社区卫生服务中心 职工 心理健康 

分 类 号：R197.61[医药卫生—卫生事业管理]